| NPI | 1003156738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P11873) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT27611) |
| Enumeration Date | 2013-02-16 |
| Last Update Date | 2023-02-21 |